Individual provider Active NPI

Ayelet Kaznelson, IBCLC, CLC

  • Specialist
  • New York, NY
National Provider Identifier
1962618827
Registry record updated Jun 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10420788 Issued in VA
Practice address
244 W 72ND St
Apt B
New York, NY 10023-2807
Phone
(917) 620-4068
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10420788 VA Primary

Addresses

Primary practice location

244 W 72ND St
Apt B
New York, NY 10023-2807

Mailing address

244 W 72ND St
Apt B
New York, NY 10023-2807
Phone (917) 620-4068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10420788VAMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246147200000",
    "number": "1962618827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 W 72ND ST",
            "address_2": "APT B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232807",
            "telephone_number": "917-620-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 W 72ND ST",
            "address_2": "APT B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232807",
            "telephone_number": "917-620-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZNELSON",
        "first_name": "AYELET",
        "name_prefix": "Ms.",
        "credential": "IBCLC, CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2009-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "10420788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.